Job Description

Summary:

The Senior Manager, Coding Support is responsible for developing, operationalizing, and monitoring a centralized coding support team and its processes in support of the hospital's Health System (including affiliates) inpatient and outpatient coding teams leading to the compliant, and timely coding of patient encounters for use in claim submission, and regulatory, quality, and population health reporting to support the delivery of safe and effective patient care.

This leader, in collaboration with the Executive Director, Coding, manages the planning and operational direction of coding support for the system. This leader, in collaboration with direct-report managers, is responsible for the coordination and administration of vendor management, DNFC follow-up, KPI reporting and dashboards, application maintenance, and workflow optimization functions for the HIM Coding team ensuring organizational performance is in alignment with the short term and long-term coding goals of the hospital's health system.

Provides overall management and oversight of coding support functions.
Provides management and oversight of the development of standardized policies, procedures, and practices related to coding support across all Regions.
Manages and provides oversight of coding support managers.
Designs and delivers methods to measure and communicate KPIs and other metrics for the HIM/Coding function to include routine reporting, ad hoc reporting, and dashboards.
Designs and delivers methods to follow-up, expedite, and escalate account level issues preventing coding from being completed.
Ensures that coding software applications are functioning properly and is responsible for coordinating updates, upgrades, downtimes, and troubleshooting.
Designs and delivers workflow optimizations to increase the accuracy and/or productivity of the coding teams.
Manages and provides oversight of all outsource coding vendors to include vetting, contracting, resource procurement, and communication.
Leads projects which include financial and quality analysis, problem solving, and team collaboration.
Communicates ideas or positions in a persuasive manner that builds support, agreement, or commitment.
Establishes strong relationships with external stakeholders such as Risk/Integrity/Compliance, Quality, Providers, Revenue Integrity, Payer-yield, Information Services, and other departments within the organization.

Required qualifications:

Bachelor's Degree/AHIMA accredited HIM program or other healthcare related field of study or equivalent education/experience
Registered Health Information Administrator or Registered Health Information Technician
3 years' experience in management/supervisory role in overseeing coding teams in an acute care environment.
10 or more years' experience in coding operations, support, reporting, application management in the acute hospital setting.

Application currently closed

This job was posted on Wed Sep 14 2022 and expired on Thu Oct 06 2022.

Minimum $24K /yr

$89K /yr Average

Maximum $185K /yr

Tasks

Protect the security of medical records to ensure that confidentiality is maintained.

Review records for completeness, accuracy, and compliance with regulations.

Retrieve patient medical records for physicians, technicians, or other medical personnel.

Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.

Process patient admission or discharge documents.

Transcribe medical reports.

Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings.

Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.

Identify, compile, abstract, and code patient data, using standard classification systems.

Release information to persons or agencies according to regulations.

Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.

Prepare statistical reports, narrative reports, or graphic presentations of information, such as tumor registry data for use by hospital staff, researchers, or other users.

Post medical insurance billings.

Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.

Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.

Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.

Train medical records staff.

Process and prepare business or government forms.

Consult classification manuals to locate information about disease processes.

Develop in-service educational materials.

Skills

Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Knowledge

Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

Computers and Electronics - Knowledge of circuit boards, processors, chips, electronic equipment, and computer hardware and software, including applications and programming.

English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.